Active NPI
Suresh I Persad-Maharaj, MD
- Obstetrics & Gynecology Physician
- Savannah, GA
National Provider Identifier
1386740249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 17717
- Practice address
- 361 B Commercial Dr.
Savannah, GA 31406-3643 - Phone
- (912) 352-7936
- Fax
- (912) 352-0079
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | GA17717 | GA | |
| Obstetrics & Gynecology Physician | 207V00000X | 17717 | GA | Primary |
Addresses
Primary practice location
361 B Commercial Dr.
Savannah, GA 31406-3643
Mailing address
361 B Commercial Dr.
Savannah, GA 31406-3643
Phone (912) 352-7936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000069231A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA17717 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1386740249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 B COMMERCIAL DR.",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063643",
"telephone_number": "912-352-7936",
"fax_number": "912-352-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 B COMMERCIAL DR.",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063643",
"telephone_number": "912-352-7936",
"fax_number": "912-352-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAD-MAHARAJ",
"first_name": "SURESH",
"middle_name": "I",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "GA17717",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "17717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000069231A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.